Organization
CONCOURSE RX PHARMACY INC
Active
Other names
Concourse Rx
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WU (CEO/CFO/SEC./DIR.)
(626) 965-5988
Entity
Organization
Contact information
Practice address
18575 E. GALE AVE., #158, CITY OF INDUSTRY, CA 91748
(626) 965-5988
(626) 965-6588
Mailing address
18575 E. GALE AVE., #158, CITY OF INDUSTRY, CA 91748
(626) 965-5988
(626) 965-6588
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PHY46886
CA
Other
Enumeration date
12/27/2006
Last updated
08/26/2022
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